T74.1 vs T74.2
T74.1 (Physical abuse, confirmed) compared with T74.2 (Sexual abuse, confirmed), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. T74.1 carries an Excludes2 note covering T74.2: “sexual abuse (T74.2-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| T74.1Physical abuse, confirmed | T74.2Sexual abuse, confirmed | |
|---|---|---|
| Billing status | Non-billable header Report instead: T74.11XA, T74.11XD, T74.11XS, T74.12XA, T74.12XD | Non-billable header Report instead: T74.21XA, T74.21XD, T74.21XS, T74.22XA, T74.22XD |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Physical abuse, confirmed is a non-billable ICD-10-CM category code (T74.1). | Sexual abuse, confirmed is a non-billable ICD-10-CM category code (T74.2). |
| 7th character | The appropriate 7th character is to be added to each code from category T74 | The appropriate 7th character is to be added to each code from category T74 |
| Includes | — | Rape, confirmed Sexual assault, confirmed |
| Use additional code | code, if applicable, to identify any associated current injury external cause code to identify perpetrator, if known (Y07.-) | code, if applicable, to identify any associated current injury external cause code to identify perpetrator, if known (Y07.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources